Hello everyone,I am from Pakistan.My father aged 76 had urine obstruction problems.We went to a Urologist on 27th June who did ultrasound ,DRE and recommended tests and biopsy.Clinically he diagnosed Advanced Prostate Cancer. PSA 65 , Gleason score 9/10 , Adenocarcinoma, Tumor involves all five cores ,60% tissue in right lobe , 02 cores 10% tissue in left lobe ;in right lobe perineural invasion is seen,no perineural invasion in left lobe,No bone metastases; Blood Sugar level normal .BUN to Creatinine ratio ( 29 ........ 1.9) on 28 June but it has surged further (35...... 2.5) yesterday. Since 27th June he has been taking 06 Androcur tablets per day along with Maxflow. Oncologist said that it seems to be localized prostate cancer but that will be confirmed by Pelvis MRI due to be tomorrow. Shortness of breath and weakness occurred since the start of medication. No urine obstruction symptom now. Pls guide me about future plan of treatment for us
Pls guide about treatment options for... - Advanced Prostate...
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Sorry for my English!
Thanks Eury and John , got Pelvis MRI report yesterday
" ill-defined heterogeneous signal intensity mass lesion that is extending into perirectal fascia with involvement of seminal vesicle and infiltration into the base of the bladder on right side suggestive of extracapsular extension.It is T4N0Mx"
Oncologist recommended Bilateral Orchiectomy followed by Radiation therapy. I was wondering if we could avoid Orchiectomy and continue with harmone therapy and Radiation.